WILLIS MEDICAL SERVICES, P.C. (NPI# 1548421456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548421456 |
| Entity Type | Organization |
| Organization Name | WILLIS MEDICAL SERVICES, P.C. |
| Practice Address |
7724 New Utrecht Ave Suite L.l. Brooklyn NY 11214-1014 |
| Practice Telephone | 7182341212 |
| Mailing Telephone | 7182341212 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | ALEKSANDR MARTIROSOV (PRESIDENT) |
| Authorized Official Telephone | 7182341212 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
209027 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
7724 NEW UTRECHT AVE SUITE L.L. |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11214-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801057740 | Rx Warehouse Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 7724 New Utrecht Ave, Brooklyn, NY 11214-1014 | 2008-06-23 |
| 1285966382 | Inna Birzh | Pharmacist | 7724 New Utrecht Ave, Brooklyn, NY 11214-1014 | 2010-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763440 | Safe Reach Pt P.C. | Physical Therapist | 331 Bay 14th Street, Fl.#1, Brooklyn, NY 11214 | 2020-06-04 |
| 1891325353 | Mahmoud Ali | Physical Therapist | 96 28th Avenue 3rd Floor, Brooklyn, NY 11214 | 2020-01-23 |
| 1407370489 | Georgette Neglia | Counselor | 195 Bay 19th Street, Brooklyn, NY 11214 | 2017-08-01 |
| 1063936151 | Ummat Pharmacy Inc | Pharmacy | 8719 18th Avenue, Brooklyn, NY 11214 | 2017-07-31 |
| 1518489293 | S&j Pegasus Inc | PACE Provider Organization | 8754 Bay 16th Street, Cellular Floor, Brooklyn, NY 11214 | 2017-07-13 |
| 1063934909 | Edita Greben | Speech-Language Pathologist | 8823 23rd Avenue, 3rd Floor, Brooklyn, NY 11214 | 2017-07-12 |
| 1649791104 | Rachel Sandler | Religious Nonmedical Nursing Personnel | 79- 20th Avenue, Brooklyn, NY 11214 | 2017-07-05 |
| 1003343849 | Catholic Charities Brooklyn and Queens | Case Management | 190 Bay Street, Brooklyn, NY 11214 | 2017-05-11 |
| 1447785316 | Four Season Medical Pllc | Internal Medicine | 2044 86th Street, Brooklyn, NY 11214 | 2017-04-27 |
| 1134669716 | Uhealthy Pharmacy Inc. | Pharmacy | 2263 86th Street, Brooklyn, NY 11214 | 2017-03-02 |
| Find all providers in zip 11214 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245682475 | Salut Medical PC | Family Medicine | 699 Stanley Ave, Brooklyn, NY 11207-7905 | 2016-07-12 |
| 1891010781 | Christine R. Viola | Family Medicine | 415 Ocean Pkwy, 4a, Brooklyn, NY 11218-4748 | 2010-04-02 |
| 1447440029 | Nathalia Idelevitch | Family Medicine | 3048 Brighton 1st St Ste 6, Brooklyn, NY 11235 | 2007-07-30 |
| 1942352687 | Executive Health Medical Care PC | Family Medicine | 7901 Bay Parkway, Suite 1b, Brooklyn, NY 11214 | 2007-01-16 |
| 1235140542 | Richard Gary Conway | Family Medicine | 1445 E 3rd St, Brooklyn, NY 11230-5572 | 2006-08-11 |
| 1780004358 | Omer Tipu Physician PC | Family Medicine | 446 Mcdonald Ave, Brooklyn, NY 11218-2212 | 2014-04-23 |
| 1720327406 | Carolyn Jean Murray | Family Medicine | 4802 10th Ave, Maimonides Medical Center, Brooklyn, NY 11219-2916 | 2013-01-31 |
| 1669601159 | Omer Khalique Tipu | Family Medicine | 446 Mcdonald Ave, Brooklyn, NY 11218-2212 | 2009-07-07 |
| 1740423508 | Nathalia Idelevitch Medical Office PC | Family Medicine | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2009-04-09 |
| 1417030883 | Howard Mitchell Orkin | Family Medicine | 8605 Flatlands Ave, Brooklyn, NY 11236-3607 | 2006-10-21 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.